Michael Godpower Chinedu, Suleiman Abdullahi Kabir, Abdulkadir Zainab, Umar Zainab Abdulazeez, Olawumi Abdulgafar Lekan
Department of Family Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria.
J Family Med Prim Care. 2022 Nov;11(11):7280-7288. doi: 10.4103/jfmpc.jfmpc_954_22. Epub 2022 Dec 16.
The impact of COVID-19 lockdown on family experiences has not been thoroughly evaluated, given the consequent stressful home environment it reportedly caused that can adversely affect family dynamics. This study examined the prevalence and sociodemographic predictors of perceived family functionality, marital satisfaction and intimate partner violence (IPV) during the lockdown among married healthcare users in a Nigerian primary care setting.
The study was cross sectional. Data were collected randomly from 432 eligible attendees of a primary care clinic in Kano, Nigeria. Information regarding participants' sociodemographic characteristics, family functioning, marital satisfaction and IPV were measured using a sociodemographic questionnaire, APGAR-, Kansas marital satisfaction- and verbal HITS-scales.
Respondents' mean (range) age was 30 (15-70) years; 293 (67.8%) were females. Family dysfunction, marital dissatisfaction and probable IPV were found in 44.2, 56.5 and 50.5% of respondents, respectively. The odds of a functional family were higher among caregiver and female respondents but lower among those aged ≥50 years, students, non-Hausa/Fulani, those with low education and residing outside the Kano metropolis during the lockdown. Marital satisfaction was higher among caregivers and respondents from polygamous families and lower among respondents aged ≥50 years. No studied sociodemographic variable predicted probable IPV.
There was a high prevalence of family dysfunction, marital dissatisfaction and probable IPV among the respondents during the lockdown. These findings suggest screening married patients for family dysfunction, marital dissatisfaction and IPV during similar lockdowns for appropriate interventions. The predictor variables could form essential considerations for the screening.
鉴于据报道新冠疫情封锁导致家庭环境压力增大，可能对家庭关系产生不利影响，但其对家庭体验的影响尚未得到充分评估。本研究调查了尼日利亚一家初级保健机构中已婚医疗服务使用者在封锁期间家庭功能感、婚姻满意度及亲密伴侣暴力（IPV）的发生率及其社会人口学预测因素。
本研究为横断面研究。从尼日利亚卡诺一家初级保健诊所的432名符合条件的就诊者中随机收集数据。使用社会人口学问卷、APGAR家庭功能量表、堪萨斯婚姻满意度量表及言语虐待、忽视、威胁、强制量表来测量参与者的社会人口学特征、家庭功能、婚姻满意度及亲密伴侣暴力情况。
受访者的平均（范围）年龄为30（15 - 70）岁；293名（67.8%）为女性。分别有44.2%、56.5%和50.5%的受访者存在家庭功能障碍、婚姻不满意及可能的亲密伴侣暴力情况。在照顾者和女性受访者中，家庭功能正常的几率较高，但在年龄≥50岁者、学生、非豪萨/富拉尼族、受教育程度低及封锁期间居住在卡诺市以外的受访者中较低。照顾者及来自多配偶家庭的受访者婚姻满意度较高，而年龄≥50岁的受访者婚姻满意度较低。未发现所研究的社会人口学变量可预测可能的亲密伴侣暴力情况。
在封锁期间，受访者中家庭功能障碍、婚姻不满意及可能的亲密伴侣暴力情况发生率较高。这些发现表明，在类似封锁期间应对已婚患者筛查家庭功能障碍、婚姻不满意及亲密伴侣暴力情况，以便进行适当干预。这些预测变量可作为筛查的重要考虑因素。
